Organization
PARTNERS FOR CHANGE OF THE CAROLINAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALENCIA GISELLE GRAY-WILLIAMS PHARMD (DIRECTOR)
(803) 360-7896
Entity
Organization
Contact information
Practice address
110 SOUTH WASHINGTON STREET, SUMTER, SC 29150
(803) 360-7896
(803) 888-2648
Mailing address
110 SOUTH WASHINGTON STREET, SUMTER, SC 29150
(803) 360-7896
(803) 888-2648
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
04/30/2013
Last updated
02/15/2022
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